Journal of Education and Health Promotion

Investigation of the relationship between the safety climate and occupational fatigue among the nurses of educational hospitals in Zabol

Document Type : Original Article

Authors

. Mohsen Poursadeqiyan 1
. Maryam Feiz Arefi 1
. Saeed Khaleghi 2
. Ali Sadeghi Moghaddam 3
. Ehsan Mazloumi 4
. Mehdi Raei 5
. Mahsa Hami 6
. Alireza Khammar 7

1 Department of Occupational Health Engineering, Torbat Heydariyeh University of Medical Sciences, Torbat Heydariyeh, Iran Health Sciences Research Center, Torbat Heydariyeh University of Medical Sciences, Torbat Heydariyeh, Iran

2 Department of Nursing, Alborz University of Medical Sciences, Karaj, Iran

3 Department of Nursing, Dezful University of Medical Sciences, Dezful, Iran

4 Health Sciences Research Center, Torbat Heydariyeh University of Medical Sciences, Torbat Heydariyeh, Iran Department of Public Health, Torbat Heydariyeh University of Medical Sciences, Torbat Heydariyeh, Iran

5 Health Research Center, Life Style Institute, Baqiyatallah University of Medical Sciences, Tehran, Iran

6 Health Management and Economics Research Center, Iran University of Medical Sciences, Tehran, Iran

7 Department of Occupational Health, Zabol Medicinal Plants Research Center, Zabol University of Medical Sciences, Zabol, Iran

Abstract
INTRODUCTION: Some working and organizational conditions, such as psychological stress and
shift work, are factors that threaten the health of staff working in health centers. These factors can
cause fatigue in a long time. Fatigue reduces the ability to process information and decrease to
respond to hazardous conditions and will affect the safety of the environment. Therefore, the purpose
of this study was to determine the relationship between safety climate and occupational fatigue in
nurses working in Zabol city.
METHODS: This cross‑sectional study was performed on 143 nurses working in educational hospitals
of Zabol in 2019. The proportional sampling method was used, and the Swedish Occupational
Fatigue Questionnaire and the Nurses Safety Questionnaire were used for data collection. Data
were analyzed using independent t‑test, analysis of variance, Mann–Whitney, Kruskal–Wallis tests,
and SPSS‑21 software.
RESULTS: In the present study, 57.3% were women and 42.7% were men. The mean score of
occupational fatigue was 85.09 ± 41.49, and the mean score of safety climate was 67.15 ± 12.73. There
is a significant inverse relationship between occupational fatigue and safety climate. The comparison
of safety climate and its subscales between occupational and demographic variables showed that the
score of male supervisors’ attitude was 01.36 ± 2.41 while the score of female supervisors’ attitude
was 8.88 ± 2.61, and this difference was significant. Furthermore, cumulative burnout, the attitude of
supervisors, and the safety climate were significantly different between different educational levels.
CONCLUSION: The results of this study showed that there is a relationship between occupational
fatigue and safety climate. Issues related to safety and risk factors in hospitals due to the high risk of
disease outbreak and mortality, in addition to being economical, are important in terms of the human
aspect as well. In addition, the activity of nursing staff is more important compared to other groups
because of providing health care and communicating with patients; thus, more education about the
safety climate of the workplace environment in hospitals can reduce nurses’ fatigue.

Keywords

Burnout
fatigue
job satisfaction
nurse
safety
1. Harrington J. Occupational Health: Recognising and Preventing
Work Related Disease and Injury. Occup Environ Med: BMJ
Publishing Group Ltd; 2000.
2. Poursadeqiyan M, Foladi Sh, Khammar A, Nabi Amjad R,
Marioryad H, Hosseini Ghosheh N, et al. A survey on
the relationship between the status of occupational health
management and job satisfaction among staff of rehabilitation
Centers in Tehran: A cross‑sectional study. Jrehab 2019;20:242‑55.
3. Gershon RR, Stone PW, Zeltser M, Faucett J, MacDavitt K,
Chou SS. Organizational climate and nurse health outcomes in
the United States: A systematic review. Ind Health 2007;45:622‑36.
4. Rassouli M, Zandiye S, Noorian M, Zayeri F. Fatigue and its
related factors in pediatric and adult oncology nurses. Iran J Nurs
2011;24:37‑47.
5. Khammar A, Poursadeghiyan M, Marioryad H, Amjad RN,
Alimohammadi M, Khandan M. Patient Safety climate and
its affecting factors among rehabilitation health care staff of
hospitals and rehabilitation Centers in Iran‑Tehran. Int Railway
J 2019;17:39‑48.
6. Raftopoulos V, Charalambous A, Talias M. The factors associated
with the burnout syndrome and fatigue in Cypriot nurses:
A census report. BMC Public Health 2012;12:457.
7. Sultanian A, Torghabe MM, Garkaz A, Mahdavi N. Persian
version of Swedish occupational fatigue inventory (P‑SOFI):
Validity and reliability. Iran Occup Health 2014;11:34‑43.
8. Yarmohammadi H, Poursadeghiyan M, Rahmani N,
Yarmohammadi S, Omidiandost A, Eskandari S. Work‑related
fatigue and the effective factors in the Iranian nurses. Arch Hyg
Sci 2018;7:32‑8.
9. Karimi A, Honarbakhsh M. Dimensions of occupational fatigue in
heavy vehicle drivers. J Mazandaran Univ Med Sci 2016;26:156‑66.
10. Abbe OO, Harvey CM, Ikuma LH, Aghazadeh F. Modeling
the relationship between occupational stressors, psychosocial/
physical symptoms and injuries in the construction industry. Int
J Ind Ergon 2011;41:106‑17.
11. Swaen GM, Van Amelsvoort LG, Bültmann U, Kant IJ. Fatigue
as a risk factor for being injured in an occupational accident:
Results from the maastricht cohort study. Occup Environ Med
2003;60 Suppl 1:i88‑92.
12. SaremiM, FallahMR. Subjective fatigue and medical errors among
nurses in an Educational Hospital. Iran Occup Health 2013;10:1‑8.
13. Ford MT, Tetrick LE. Safety motivation and human resource
management in North America. Int J Hum Resour Manage
2008;19:1472‑85.
14. Hofmann DA, Jacobs R, Landy F. High reliability process
industries: Individual, micro, and macro organizational influences
on safety performance. J Saf Res 1995;26:131‑49.
15. Buck MA. Proactive Personality and Big Five Traits in Supervisors
and Workgroup Members: Effects on Safety Climate and Safety
Motivation: Portland State University; 2011.
16. Zohar D. Thirty years of safety climate research: Reflections and
future directions. Accid Anal Prev 2010;42:1517‑22.
17. Khammar A, Hosseinighosheh S, Abdolshahi A, Ahagh MH,
Poursadeqiyan M. Forecast of the future trend of accidents in an
electricity distribution company of Iran: A time series analysis.
Iran J Public Health 2019;48:2315‑7.
18. Mortazavi S, Asilian H, Avestakhan M. Relationship between
safety climate factors and the risk of dangerous situations in height
among construction workers. Iran Occup Health J 2011;8:51‑60.
19. Karsh BT, Waterson P, Holden RJ. Crossing levels in systems
ergonomics: A framework to support ‘mesoergonomic’inquiry.
Appl Ergon 2014;45:45‑54.
20. Sadeghi A, Shadi M, Moghimbaegi A. Relationship between
Nurses’ job satisfaction and burnout. Sci J Hamadan Nurs
Midwifery Fac 2016;24:238‑46.
21. Habibi H, Mooghali A, Lankarani KB, Habibi F. Relationship
between nurses’ job satisfaction and burnout with patients
satisfaction in Shiraz, 2012. J Hayat 2014;20:30‑42.
22. Warren A, Tart RC. Fatigue and charting errors: The benefit of a
reduced call schedule. AORN J 2008;88:88‑95.
23. Souzani A, Bagheri H, Pourheydari M. Survey nurse’s view about
factors affects medication errors in different care units of Imam
Hossein hospital in Shahroud. Knowl Health 2007;2:8‑13.
24. Jansen PG, Kerkstra A, Abu‑Saad HH, van der Zee J. The effects
of job characteristics and individual characteristics on job
satisfaction and burnout in community nursing. Int J Nurs Stud
1996;33:407‑21.
25. Bültmann U, Kant I, Kasl SV, Beurskens AJ, van den Brandt PA.
Fatigue and psychological distress in the working population:
Psychometrics, prevalence, and correlates. J Psychosom Res
2002;52:445‑52.
26. MacDonald LA, Deddens JA, Grajewski BA, Whelan EA,
Hurrell JJ. Job stress among female flight attendants. J Occup
Environ Med 2003;45:703‑14.
27. van der Ploeg E, Kleber RJ. Acute and chronic job stressors among
ambulance personnel: Predictors of health symptoms. Occup
Environ Med 2003;60 Suppl 1:i40‑6.
28. Zarei E, Khakzad N, Reniers G, Akbari R. On the relationship
between safety climate and occupational burnout in healthcare
organizations. Saf Sci 2016;89:1‑10.
29. Raftopoulos V, Pavlakis A. Safety climate in 5 intensive care units:
A nationwide hospital survey using the Greek‑Cypriot version
of the safety attitudes questionnaire. J Crit Care 2013;28:51‑61.
30. Kalte H.O, Mirzaei M.A, Faghih M.A, Assodallahi B,
Hamamizadeh E. Assessment of safety climate and effect of
related factors among staff of a dairy company in 2016. Hozan J
Environ Sci 2016;1:22‑32.
31. Wu TC, Liu CW, Lu MC. Safety climate in university and college laboratories: Impact of organizational and individual factors.
J Safety Res 2007;38:91‑102.
32. Mallat J, Pepy F, Lemyze M, Barrailler S, Gasan G, Tronchon L,
et al. Extravascular lung water indexed or not to predicted body
weight is a predictor of mortality in septic shock patients. J Crit
Care 2012;27:376‑83.
33. VinodkumarM, BhasiM. Safety climate factors and its relationship
with accidents and personal attributes in the chemical industry.
Saf Sci 2009;47:659‑67.
34. Evans B, Glendon AI, Creed PA. Development and initial
validation of an Aviation Safety Climate Scale. J Safety Res
2007;38:675‑82.
35. Sarsangi V, Khalevandi A, Zarei E, Mehrizi EA, Abadi MS,
Honarjoo F. Attitude of the Nurses of Kashan Educational
Hospitals toward Workplace Safety climate in 2014. Community
Health J 2017;8:18‑27.
36. Ballangrud R, Hedelin B, Hall‑Lord ML. Nurses’ perceptions of
patient safety climate in intensive care units: A cross‑sectional
study. Intensive Crit Care Nurs 2012;28:344‑54.
37. Saki K, Khezri‑Azar J, Mohebbi I. Nursing errors and its
relationship with fatigue among nurses of the emergency ward.
J Urmia Nurs Midwifery Fac 2016;13:835‑42.
38. Barnett RC, Brennan RT, Gareis KC. A closer look at the
measurement of burnout 1. J Appl Biobehav Res 1999;4:65‑78.
39. Ricci JA, Chee E, Lorandeau AL, Berger J. Fatigue in the U.S.
workforce: Prevalence and implications for lost productive work
time. J Occup Environ Med 2007;49:1‑0.
40. Eriksen W, Tambs K, Knardahl S. Work factors and psychological
distress in nurses’ aides: A prospective cohort study. BMC Public
Health 2006;6:290.
Journal of Education and Health Promotion
Volume 10, Issue 9
September 2020
Pages 1-9

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